Chronic mountain sickness.
نویسنده
چکیده
I read with great interest the article by White et al,’ which appeared in the July 1991 issue ofChest. The authors raised several important points concerning the utility of chest radiographs in adults admitted for exacerbations of bronchial asthma, I feel, however, that several aspects oftheir study must be addressed. First ofall, the study is relatively small (n =58) and uncontrolled, and involves patients from only one institution over an extremely short period, which I feel brings into question whether their findings can be generalized to the population at large. The emergency room at Columbia-Presbyterian Medical Center serves a largely poor inner-city population, who often lack adequate primary health care and thus might be reasonably expected to present with more severe disease. In addition, this study included only patients who failed to respond to 12 h of bronchodilator therapy, and thus probably omitted many patients who would have been admitted to other hospitals, especially those in the community setting. In light of these factors, I feel that there exists a question of whether the authors’ conclusions concerning the utility ofchest radiographs, and their findings ofa high percentage ofabnormal radiographs in adults admitted for bronchial asthma, can be uniformly applied to all adults admitted for acute asthma. I do believe that the authors have raised some interesting questions concerning previously held beliefs about the role of the chest radiograph in the initial admission workup of the adult asthmatic patient; however, a larger, controlled study is probably required in order to define the exact role of the chest radiograph in these patients.
منابع مشابه
Chronic Mountain Sickness (Cms) Misdiagnosed As High Altitude Cerebral Edema (Hace) At Extreme Altitude (6400 M/21000 Ft)
Introduction: Chronic mountain sickness (CMS) represents a syndrome of secondary polycythemia along with thrombocytopenia, altered hemorheology, pulmonary and systemic hypertension, and congestive heart failure, occurring due to hypobaric hypoxia-anoxia-induced erythropoiesis reported in both native mountain residents and new climbers after prolonged stays at high and extreme a...
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متن کاملPathology of chronic mountain sickness.
Arias-Stella, J., Kriiger, H., and Recavarren, S. (1973). Thorax, 28, 701-708. Pathology of chronic mountain sickness. Pathological data on chronic mountain sickness are scarce due to the fact that the disease is ameliorated or cured by descent to a low altitude. In this report we describe a case of chronic mountain sickness occurring in a woman of 48 years at Cerro de Pasco (4,300 m above sea ...
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especially those papers emphasizing adaptive and integrative mechanisms. It is published 12 times a year (monthly) by publishes original papers that deal with diverse area of research in applied physiology,
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ورودعنوان ژورنال:
- Chest
دوره 101 6 شماره
صفحات -
تاریخ انتشار 1992